complaint·July 7, 2022

Licensee failed to report incident: In regards to the allegation, the Licensing agency received a report alleging that on or around 6/15/22, Resident 1 (R1) wandered away from the facility. Interview with the administrator, confirms that R1 did AWOL on or around 6/15/22. Administrator stated they reported the incident to Local Law Enforcement, and R1 was returned to the facility with no injuries or change in condition. The administrator also admitted that they did not report the incident to the Licensing agency as required pursuant to regulation 87211 Reporting Requirements. Therefore, based on this admission, the allegation is Substantiated. Citation issued on the 9099D. Medical equipment is in disrepair: In regards to the allegation, it was reported that Resident 2 (R2) glucometer wasn´t working. During the course of the visit, LPAs inspected R2's glucometer and observed it to be operational. According to the administrator, this glucometer has been with R2 since their admission. There was never any problems with the device. Based on the information obtained, there was insufficient evidence to corroborate the allegation of R2's medical equipment is in disrepair. Therefore, the allegation is deemed Unsubstantiated at this time. Staff utilize step ladder up against door to prevent residents from leaving: In regards to the allegation, it was reported that staff would place a step ladder on the front door to prevent residents from leaving facility. Interviews with residents do not corroborate with the allegation. Furthermore, LPAs conducted an inspection of the physical plant and did not observe a step ladder near the exit doors. Therefore, based on the information obtained, the allegation of staff utilizing a step ladder to prevent residents from leaving the facility is deemed Unsubstantiated at this time. Insufficient staffing: In regards to the allegation, the Licensing agency received information that there were only two staff scheduled to work at the facility. During the LPA's investigation, two staff and the administrator were observed at the facility providing elements of care and supervision. According to the administrator, he has two staff on duty at all times. Administrator stated facility also has one reliever, and he comes to the facility so often to overlook the facility operations. LPAs interviewed residents, who indicated facility has sufficient staffing and their needs are met. Based on the information obtained, there was insufficient evidence to corroborate the allegation. Therefore the investigation is deemed Un substantiated at this time.